iPN Credentialing Services include:
- Ongoing maintenance and updates of iPN commercial payer rosters
- Complete initial credentialing/reassignment for new members for iPN contracted commercial payers
- Completion of re-credentialing applications and database attestations for iPN contracted commercial payers
- Provider and practice demographic updates for iPN contracted commercial payers
- Provider terminations from iPN commercial payer contracts
- Credentialing status updates
Through our partnership with Welter Healthcare Partners, additional, full scope credentialing management services are available.
- Completion of initial, full credentialing or reassignment for new providers with health plans that fall outside of the iPN
- Completion of re-credentialing applications and database attestations with health plans that fall outside of the iPN
- Medicare revalidations (group and individual), Medicaid revalidations (group and individual)
- CAQH maintenance, CMS quarterly attestations, and payer directory updates
- Completion of initial appointments and re-appointments for hospital affiliations
- Tracking of medical licenses, DEA license, malpractice and other provider renewals.
- CME tracking
- Credentialing updates
- Billing office support in the event of a claim’s denial due to a credentialing issue